Individual
DR. BEHRAM R SOONAWALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1510 4TH ST, SUITE 1, BERKELEY, CA 94710-1717
(510) 525-8980
Mailing address
1510 4TH ST, SUITE 1, BERKELEY, CA 94710-1717
(510) 525-8980
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
A64516
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A645160
—
CA
Enumeration date
03/14/2006
Last updated
07/09/2008
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